Drug interactions
Amphotericin b liposomal + Lomustine
Severity: Moderate
Amphotericin b liposomal and Lomustine: moderate interaction.
Last updated
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
Amphotericin B can cause kidney injury and infusion reactions, while lomustine causes myelosuppression and may add to toxicity. The extent of any true interaction is poorly defined.
What this interaction means in plain words
Amphotericin b liposomal and Lomustine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Amphotericin b liposomal belongs to Anti Fungals; Lomustine belongs to Oncology.
Why it happens
Mechanism not established; possible additive renal and hematologic toxicity.
What to do
Monitor renal function, electrolytes and blood counts, and observe for hypotension or bronchospasm during infusions.
What to ask your pharmacist
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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Other interactions of Lomustine
- Adenovirus types 4 and 7 live + Lomustine Contraindicated
- Bcg vaccine live + Lomustine Contraindicated
- Influenza virus vaccine quadrivalent intranasal + Lomustine Contraindicated
- Lomustine + Measles mumps and rubella vaccine Contraindicated
- Lomustine + Measles mumps and rubella vaccine live Contraindicated
- Lomustine + Measles mumps rubella and varicella vaccine live Contraindicated
Other interactions of Amphotericin b liposomal
- Amlodipine-benazepril + Amphotericin b liposomal Moderate
- Amphotericin b liposomal + Benazepril Moderate
- Amphotericin b liposomal + Captopril-hydrochlorothiazide Moderate
- Amphotericin b liposomal + Deflazacort Moderate
- Amphotericin b liposomal + Dichlorphenamide Moderate
- Amphotericin b liposomal + Ifosfamide Moderate
Frequently asked questions
Can I take Amphotericin b liposomal with Lomustine?
MediHelp rates the interaction as moderate. Amphotericin b liposomal and Lomustine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Amphotericin B can cause kidney injury and infusion reactions, while lomustine causes myelosuppression and may add to toxicity. The extent of any true interaction is poorly defined.
How serious is the interaction between Amphotericin b liposomal and Lomustine?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor renal function, electrolytes and blood counts, and observe for hypotension or bronchospasm during infusions.
What other medicines interact with Lomustine?
MediHelp also lists interactions of Lomustine with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal. The full list is on the Lomustine page.
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